{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:59:35Z","timestamp":1777892375048,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:p>A patient with rapidly progressive cognitive decline over an approximately four month period was suspected to have sporadic Creutzfeldt-Jakob disease. Features thought to support this diagnosis included psychiatric symptoms (anxiety and depression), visual hallucinations and a visual field defect. However, the finding of papilloedema broadened the differential diagnosis. Although standard brain imaging and electroencephalography had shown only non-specific abnormalities, subsequent cerebral angiography disclosed an intracranial dural arteriovenous fistula. Following embolisation, the patient made a good functional recovery. Intracranial dural arteriovenous fistula merits consideration in any patient with subacute cognitive decline, and should be included in the differential diagnosis of sporadic Creutzfeldt-Jakob disease.<\/jats:p>","DOI":"10.4997\/jrcpe.2015.307","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T10:08:26Z","timestamp":1493028506000},"page":"209-212","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Rapid cognitive decline: Not always Creutzfeldt-Jakob disease"],"prefix":"10.1177","volume":"45","author":[{"given":"A","family":"Randall","sequence":"first","affiliation":[{"name":"Core medical trainee year 2, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Ellis","sequence":"additional","affiliation":[{"name":"SpR in Neurology, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Hywel","sequence":"additional","affiliation":[{"name":"SpR in Neurology, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RR","family":"Davies","sequence":"additional","affiliation":[{"name":"Consultant Neurologist, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SH","family":"Alusi","sequence":"additional","affiliation":[{"name":"Consultant Neurologist, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AJ","family":"Larner","sequence":"additional","affiliation":[{"name":"Consultant Neurologist, Walton Centre for Neurology and Neurosurgery, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,1]]},"reference":[{"key":"bibr1-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2008.162008"},{"key":"bibr2-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq017"},{"key":"bibr3-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2010.04.047"},{"key":"bibr4-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.82.2.0166"},{"key":"bibr5-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.194.3.7862961"},{"key":"bibr6-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1176\/appi.neuropsych.13020025"},{"key":"bibr7-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2007.09.017"},{"key":"bibr8-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)71237-1"},{"key":"bibr9-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2015.76.1.54"},{"key":"bibr10-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awp191"},{"key":"bibr11-jrcpe.2015.307","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13047"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2015.307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2015.307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:28:00Z","timestamp":1777616880000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2015.307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.4997\/jrcpe.2015.307"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2015.307","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9]]}}}